Filing for Border County Providers
Quick access to our online Provider tools and resources makes it easy to spend more time where it matters most – with your employees.
In this section, you'll find the answers you need about Medicare Part D and Creditable Coverage, as well as fast access to a variety of administrative and HIPAA forms.
As always, if you have any questions, simply contact a representative on our sales team.
We’re here to help you sell Blue!
Example 1—Provider has contracts with Blue Cross Blue Shield of Western New York and Highmark Blue Cross Blue Shield in Pennsylvania.
- Claims for a Highmark Blue Cross Blue Shield of Western New York member are filed directly with their plan.
- All other claims are filed with Highmark Blue Cross Blue Shield in Pennsylvania.
Example 2—Provider is located in a Western New York county that borders Pennsylvania but only has a contract with Highmark Blue Cross Blue Shield of Western New York.
- All claims are filed with Highmark Blue Cross Blue Shield of Western New York.
Example 3—Provider is located in a New York county that borders Pennsylvania but only has a contract with Highmark Blue Cross Blue Shield in Pennsylvania.
- When this provider renders a service to a Highmark Blue Cross Blue Shield of Western New York member, the claim is filed with Highmark Blue Cross Blue Shield of Western New York.
- All other claims are filed with Highmark Blue Cross Blue Shield in Pennsylvania.